“十二五”期间新疆阿克苏地区乡镇卫生院经营状况分析  

Analysis on Township Hospitals Operating Situation in Aksu Region of Xinjiang in Twelve Five Period under the Background of New Cooperative Medical Care

作　　者：张荣民[1] 张岚 周权[2] 杨敏[1] 

机构地区：[1]新疆阿克苏地区第一人民医院,新疆阿克苏843000 [2]新疆阿克苏地区疾病预防控制中心,新疆阿克苏843000

出　　处：《中国初级卫生保健》2017年第11期24-26,共3页Chinese Primary Health Care

基　　金：新疆维吾尔自治区卫生厅青年科技人才专项科研项目(2014Y03)

摘　　要：目的了解阿克苏地区乡镇卫生院依托新农合"十二五"期间的经营状况,为本地区和同类地区制定乡镇卫生院相关政策提供依据。方法资料来源于新疆阿克苏地区90所乡镇卫生院2011—2015年的卫生年报数据。乡镇卫生院经营指标包括服务能力和效率、收入与支出、资产与负债及社会效益等。所获数据采用Excel 2010软件进行数据录入和处理。结果门急诊人次、出院人次年均增长率分别为27.6%和5.3%,出院者平均住院天数变化幅度不大。总收入、总支出年增长率分别为20.1%和21.3%,财务状况略有盈余,百元固定资产医疗收入年均增长率为6.9%。近三年来总资产年增长20.5%,业务经费自给率呈现逐步下降的趋势,从2011年的70.2%下降至2015年的49.5%,资产负债率呈上升趋势,从2011年的19.5%上升至2015年的29.5%。次均门诊费用、例均住院费用年均增长率为1.0%和5.4%。结论乡镇卫生院业务量持续增长,乡镇卫生院收支结构不合理,资产快速增加,设备利用率低,乡镇卫生院医疗费用控制严格。OBJECTIVE To understand township hospitals operating situation in Aksu region of Xinjiang in Twelve Five period underthe background of new cooperative medical care to provide the reference for the development relevant policies about township hospi-tals in this region and similar parts.METHODS Data were collected from health annual data of Aksu 90 township hospitals from 2011 to 2015.Operating indicators of township hospitals included service capacity and efficiency,income and expenses,assets and liabili-ties,and social benefits.Used Excel 2010 entry and statistical analysis the information obtained.RESULTS Average annual growthrate of outpatient and emergency visits and discharge visitors were 27.6% and 5.3%,discharged an average hospital stay changedslightly.Growth rate of total revenue and total expenditure were 20.1% and 21.3%,the financial situation of a slight surplus,averageannual growth rate of hundred fixed assets medical income was 6.9%.Total assets grow rate was 20.5% in the past 3 years,the rateof self-financing operations showed a gradual downward trend,falling from 70.2% in 2011 to 49.5% in 2015,asset-liability ratioraised from 19.5% in 2011 to 29.5% in 2015.Average annual rate of both times outpatient costs,the cost of hospitalized patientswere 1.0% and 5.4%.CONCLUSIONS Township hospitals traffic continued to grow,township hospitals revenue and expenditure struc-ture was irrational,a rapid increase in assets,low capacity utilization,strict cost control medical township hospitals.

关 键 词：乡镇卫生院 医院管理 少数民族地区 

分 类 号：R197[医药卫生—卫生事业管理]